Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $4,360.68 / $6,441.14	Facility		$499.00	$4,360.68	$6,441.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.52 / $1,033.26 / $1,573.60	Professional		$876.52	$1,033.26	$1,573.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $832.85 / $832.85	Professional		$832.85	$832.85	$832.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $933.00 / $1,353.02 / $1,902.20	Professional		$933.00	$1,353.02	$1,902.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.81 / $1,095.34 / $2,060.33	Facility		$986.81	$1,095.34	$2,060.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.19 / $1,235.42 / $2,154.40	Professional		$880.19	$1,235.42	$2,154.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.36 / $1,480.25 / $1,945.71	Professional		$1,015.36	$1,480.25	$1,945.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,293.94 / $3,651.30 / $8,439.40	Facility		$2,293.94	$3,651.30	$8,439.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $143.25 / $143.25	Professional		$143.25	$143.25	$143.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $3,265.35 / $7,639.80	Facility		$499.00	$3,265.35	$7,639.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $879.13 / $1,139.45 / $2,879.71	Professional		$879.13	$1,139.45	$2,879.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $867.10 / $1,739.50	Professional		$124.27	$867.10	$1,739.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $986.81 / $1,095.34 / $1,716.95	Facility		$986.81	$1,095.34	$1,716.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.89 / $1,259.70 / $2,190.92	Professional		$912.89	$1,259.70	$2,190.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $896.54 / $903.52 / $903.52	Facility		$896.54	$903.52	$903.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $887.15 / $903.52 / $986.92	Professional		$887.15	$903.52	$986.92
United Facility/Professional Professional Modifier Low / Median / High Price $824.70 / $1,099.83 / $1,718.34	Professional		$824.70	$1,099.83	$1,718.34